DR. ANITA JEANNE MOON-GRADY (NPI# 1437139060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437139060 |
Entity Type | Individual |
Full Name | DR. ANITA JEANNE MOON-GRADY |
Other Name | DR. ANITA GRADY |
Credential | M.D. |
Practice Address |
2516 Stockton Blvd Sacramento CA 95817-2208 |
Practice Telephone | 9167345470 |
Practice Fax Number | 9167340424 |
Mailing Telephone | 9167345470 |
Mailing Fax Number | 9167340424 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2007-10-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
G079633 | CA | Allopathic & Osteopathic Physicians |
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
G079633 | CA | Allopathic & Osteopathic Physicians |
Street Address |
2516 STOCKTON BLVD |
City | SACRAMENTO |
State | CA |
Zip Code | 95817-2208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154323715 | Mikla Nina Derlet | Pediatrics | 2516 Stockton Blvd, Department of Pediatrics, Sacramento, CA 95817-2208 | 2005-08-12 |
1265051411 | Terence Jordan Ellis | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-04-08 |
1124656053 | Alisha Mathalikunnel | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-27 |
1881221901 | Anna Elizabeth Lepkowski | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-26 |
1265069595 | Sharon Malwane | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-25 |
1134756703 | Christina Lynn Callas | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-24 |
1134755135 | Howard Russell Sanders | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
1851927867 | Lidia Park | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
1871129882 | Erika Cherk | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
1093341091 | Pritha Pavi Multani | Student in an Organized Health Care Education/Training Program | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2020-03-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
Find all providers in zip 95817 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205082393 | Oleg Georgievich Kovalenko | Pediatrics | 2929 K Street, Suite 200, Sacramento, CA 95816-5122 | 2008-08-08 |
1609869510 | Hessameddin Fallah-najmabadi | Pediatrics | 5609 J St, Suite A, Sacramento, CA 95819-3957 | 2005-08-25 |
1790777308 | Naveen S Manohar | Pediatrics | 2929 K St, Suite 200, Sacramento, CA 95816-5122 | 2005-08-19 |
1508211277 | Capital Pediatric Cardiology Associates Inc | Pediatrics | 2929 K St, Suite 200, Sacramento, CA 95816-5122 | 2016-04-29 |
1235565300 | Medten Medical Group Inc | Pediatrics | 5767 Greenback Ln, Suite 200, Sacramento, CA 95841-2013 | 2013-09-20 |
1558620047 | Muluneh Abebe Yimer | Pediatrics | 2929 K Street, Suite 200, Sacramento, CA 95816-5122 | 2012-05-03 |
1922372663 | Pediatric Cardiologists of Northern California Inc | Pediatrics | 5609 J St, Suite A, Sacramento, CA 95819-3957 | 2012-02-27 |
1912270281 | Pediatrix Cardiology of Sacramento PC | Pediatrics | 5609 J St, Suite A, Sacramento, CA 95819-3957 | 2012-02-17 |
1497031892 | Bianca Castellanos | Pediatrics | 2516 Stockton Boulevard, Department of Pediatric Cardiology, Sacramento, CA 95817 | 2011-10-29 |
1265769806 | Guruprasad Tiptur Mahadevaiah | Pediatrics | 2929 K St Ste 200, Sacramento, CA 95816-5122 | 2009-11-03 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95817 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.